The Mental Health of Healthcare Staff Working During the COVID-19 Crisis: Their Working Hours as a Boundary Condition

Gong, Haitong; Zhang, Stephen X.; Nawaser, Khaled; Jahanshahi, Asghar Afshar; Xu, Xiaoqing; Li, Jizhen; Bagheri, Afsaneh

doi:10.2147/jmdh.s297503

Cited by 20 publications

(10 citation statements)

References 38 publications

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“…Among the mental health symptoms examined, distress and depression generally had the highest prevalence rates. Our findings suggest that practitioners need to pay more attention to distress and depression of various populations under the COVID-19 pandemic [ 76 - 78 ].…”

Section: Discussionmentioning

confidence: 99%

Mental health symptoms during the COVID-19 pandemic in developing countries: A systematic review and meta-analysis

et al. 2022

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Background This systematic review aims to 1) summarize the prevalence of anxiety, depression, distress, insomnia, and PTSD in the adult population during the first year of the COVID pandemic in developing countries and 2) uncover and highlight the uneven distribution of research on mental health in all developing countries across regions. Methods Several literature databases were systemically searched for meta-analyses published by September 22, 2021, on the prevalence rates of mental health symptoms in developing countries worldwide. We meta-analysed the raw data of the individual empirical results from the previous meta-analysis papers in developing countries in different regions. Results The prevalence rates of mental health symptoms were summarized based on 341 empirical studies with a total of 1 704 072 participants from 40 out of 167 developing countries in Africa, Asia (East, Southeast, South, and West), Europe, and Latin America. Comparatively, Africa (39%) and West Asia (35%) had the worse overall mental health symptoms, followed by Latin America (32%). The prevalence rates of overall mental health symptoms of medical students (38%), general adult students (30%), and frontline health care workers (HCWs) (27%) were higher than those of general HCWs (25%) and general populations (23%). Among five mental health symptoms, distress (29%) and depression (27%) were the most prevalent. Interestingly, people in the least developing countries suffered less than those in emergent and other developing countries. The various instruments employed lead to result heterogeneity, demonstrating the importance of using the well-established instruments with the standard cut-off points (eg, GAD-7, GAD-2, and DASS-21 for anxiety, PHQ-9 and DASS-21 for depression, and ISI for insomnia). Conclusions The research effort on mental health in developing countries during COVID-19 has been highly uneven in the scope of countries and mental health outcomes. This meta-analysis, the largest on this topic to date, shows that the mental health symptoms are highly prevalent yet differ across regions. The accumulated systematic evidence from this study can help enable the prioritization of mental health assistance efforts to allocate attention and resources across countries and regions.

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Section: Discussionmentioning

confidence: 99%

Mental health symptoms during the COVID-19 pandemic in developing countries: A systematic review and meta-analysis

et al. 2022

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“…For example, this study has interviewed young subjects in a small age range who had poor health risks related to COVID-19 infection ( Bagus et al., 2021 ). Compared with children and old people, the pandemic-related psychological distress for young subjects was limited ( Horiuchi et al., 2020 ; Gong et al., 2021 ). Then, the extent of the lockdown ( Bell et al., 2021 ), pre-existing depressive disorders ( Yamamoto et al., 2020 ), and food insecurity ( Serafini et al., 2021 ) have been proved to significantly impact the PD prevalence.…”

Section: Discussionmentioning

confidence: 99%

Risk factors of psychological distress during the COVID-19 pandemic: The roles of coping style and emotional regulation

Fan

Wang

et al. 2022

Journal of Affective Disorders

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Background When COVID-19 emerged in China in late 2019, most citizens were home-quarantined to prevent the spread of the SARS-CoV-2 virus. Extended periods of isolation have detrimental effects on an individual's mental health. Therefore, the impact of the COVID-19 pandemic should include assessment of psychological distress and its known risk factors, including coping style and emotional regulation. Methods This cross-sectional study surveyed 6,027 Chinese university students recruited from May 25, 2020 to June 10, 2020. In addition to sociodemographic information, participant data were collected using online versions of the 10-item Kessler Psychological Distress Scale (K10), Simplified Coping Style Questionnaire (SCSQ), and Emotion Regulation Questionnaire (ERQ). Results The incidence of psychological distress was found to be 35.34%. Negative coping style and expressing panic about COVID-19 on social media were the most important predictors of psychological distress. In addition, being male, being a “left-behind child” or having a monthly household income lower than 5000 CNY or higher than 20,000 CNY were associated with higher psychological distress. Conclusion The psychological consequences of the COVID-19 pandemic could be serious. Psychological interventions that reduce nervousness and negative coping style need to be made available to home-quarantined university students, especially those who are male, are “left-behind”, have a monthly household income lower than 5000 CNY or higher than 20,000 CNY, or express panic on social media.

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“…Access to PPE predicted better physical health, job satisfaction, and lower distress in healthcare workers. Those unsure about their COVID-19 infection status were more likely to experience distress, anxiety, and depression symptoms and had lower job satisfaction ( 18 , 44 ). Findings from Peru indicated that healthcare workers with a lower education level were more anxious, and younger healthcare workers and those in the private sector were more susceptible to job turnover ( 45 ).…”

Section: Discussionmentioning

confidence: 99%

Facing the unknown COVID-19 pandemic: A qualitative study with nurses and nursing assistants in three European countries

Podgorica

Zenzmaier

Rungg

et al. 2022

Front. Public Health

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BackgroundThe coronavirus disease (COVID-19) is now a worldwide public health emergency. As essential and central parts of the COVID-19 patient care team, nurses and nurse assistants are facing all kinds of challenges caused by the disease and the pandemic. Understanding these challenges and the way nurses and nurse assistants handle and cope with them provides important knowledge on how to improve management of future pandemics and endemic situations. Thus, the present study explored the challenges faced by nurses and nurse asssitants who cared for COVID-19 patients in hospitals and long term care facilities in Italy, Austria and Germany.MethodsThe study employed a qualitative design. Purposive sampling was used to select the participants consisting on nurses (n = 30), nurse coordinators (n = 6) and nurse assistants (n = 5) from hospitals (n = 32) and long-term care facilities (n = 9) in Austria, Germany, and Italy. Data were collected between August and December 2020 through semi-structured interviews. The collected data were analyzed using qualitative content analysis.ResultsThe analysis of the data revealed three main themes with twelve sub-categories: (i) Knowledge, skills, and training (lack of knowledge; skills; organizational issues; training); (ii) resources and risk (lack of protective equipment; difficulties with protective equipment; risk and infection; feelings and isolation); (iii) coping strategies (humor; adaption; team effort; self-care; family and friends).ConclusionNurses and nurse assistants who participated in this study faced many personal and professional challenges, and used different coping strategies to manage the situation. Some of these strategies can be applied to reduce these challenges and create better working conditions for nurses and nurse assistants in similar events. Further research, training of staff, and adaptation of institutional policies may help develop new strategies to face future pandemics successfully.

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The Mental Health of Healthcare Staff Working During the COVID-19 Crisis: Their Working Hours as a Boundary Condition

Cited by 20 publications

References 38 publications

Mental health symptoms during the COVID-19 pandemic in developing countries: A systematic review and meta-analysis

Mental health symptoms during the COVID-19 pandemic in developing countries: A systematic review and meta-analysis

Risk factors of psychological distress during the COVID-19 pandemic: The roles of coping style and emotional regulation

Facing the unknown COVID-19 pandemic: A qualitative study with nurses and nursing assistants in three European countries

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